Individual
KATHLEEN BAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 PARK ST, MONTCLAIR, NJ 07042-2904
(973) 746-0333
Mailing address
47 BROOK DR, WATCHUNG, NJ 07069-6401
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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